Clyatt, Julie Ann

Clyatt, Julie Ann is an individual health care provider with primary practice located at 225 N 1St St , Leesburg FL 34748-5150. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Clyatt, Julie Ann can be contacted via phone (407) 905-8827.

Contact Information

Primary practice address
225 N 1St St Leesburg FL 34748-5150
Phone: (407) 905-8827
Fax: (352) 360-0762
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1836692 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 1836692 Florida

Profile Details

NPI number 1942270418
LBN Legal business name Clyatt, Julie Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Feb 21st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942270418 NPPES
Florida MEDICAID 000706300

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